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[目的]评价2型糖尿病门诊患者血糖控制情况,了解该人群血糖控制的影响因素。[方法]采用单纯随机抽样的方法,在上海市某三级甲等医院糖尿病中心抽取2型糖尿病患者677例,收集患者的基本人口学特征、体格检查以及实验室检测资料等。运用单因素分析和非条件Logistic回归分析探讨血糖控制的影响因素。[结果]677例2型糖尿病患者的糖化血红蛋白(HbAlc)平均值为7.27%,HbAlc≥7.00%的患者有313例,占46.23%。非条件Logistic回归分析结果显示,影响血糖控制效果的因素有舒张压(DBP)、体质指数(BMI)和三酰甘油(TG),OR值分别为1.03、1.17和1.40。[结论]2型糖尿病门诊患者的血糖控制现状不容乐观,血糖控制状况受多种因素影响。
[Objective] To evaluate the glycemic control in outpatients with type 2 diabetes and to understand the influencing factors of glycemic control in this population. [Methods] Using simple random sampling method, 677 patients with type 2 diabetes were collected from the Diabetes Center of a Grade-3 Hospitals in Shanghai to collect the basic demographic characteristics, physical examination and laboratory test data. Using univariate analysis and non-conditional Logistic regression analysis to explore the influencing factors of glycemic control. [Results] The average HbAlc of 677 patients with type 2 diabetes was 7.27%, 313 patients (HbAlc≥7.00%) accounted for 46.23%. The results of unconditional Logistic regression analysis showed that the factors affecting the effect of glycemic control were diastolic blood pressure (DBP), body mass index (BMI) and triglyceride (TG), with OR values of 1.03, 1.17 and 1.40, respectively. [Conclusion] The status of glycemic control in patients with type 2 diabetes is not optimistic. The status of glycemic control is affected by many factors.